The prevalence of cardiovascular diseases, risk factors and cardiovascular drug therapy in Turkish very elderly patients admitted to the Cardiology clinics: a subgroup analysis of Elder-Turk study.

Background: Chronic diseases such as stroke most frequently occur on old people while literature on prognosis risk factors on elderly is rare particularly Sub-Sahara Africa. The aim of the study is to determine prognosis risk factors of stroke on elderly patients. Method: It was a prospective cohort study carried out during 6 months that included elderly patients over 70 years old admitted in two tertiary medical emergency departments. Results: 56 patients with mean age 75.2 ± 5.17 showed moderate NIHSS score (59%) without gender predominance. 75% of patients with a severe score were in the 70-79 years old group. Functional dependency (93%) increased with the NIHSS score severity and 50% of patients with a moderate NIHSS score showed normal nutritional status unlike patients with a severe NIHSS score and depression for most of the cases. Mortality was frequent for patients with hemorrhagic stroke with swallowing disorder and a severe NIHSS score. Conclusion: Stroke on very elderly patients appears moderate with mortality chances increasing according to the severity of the NIHSS score, swallowing disorders that require a multidisciplinary approach in a neurovascular unit.

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Poor outcome of octogenarians admitted to ICU due to periprosthetic joint infections: a retrospective cohort study

BMC Musculoskeletal Disorders ◽

10.1186/s12891-020-03331-0 ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Emre Yilmaz ◽

Alexandra Poell ◽

Hinnerk Baecker ◽

Sven Frieler ◽

Christian Waydhas ◽

...

Keyword(s):

Risk Factors ◽

Elderly Patients ◽

Joint Infection ◽

Invasive Ventilation ◽

Very Elderly ◽

Saps Ii ◽

Poor Outcome ◽

Joint Infections ◽

Saps Ii Score ◽

The Mean

Abstract Background Even though surgical techniques and implants have evolved, periprosthetic joint infection (PJI) remains a serious complication leading to poor postoperative outcome and a high mortality. The literature is lacking in studies reporting the mortality of very elderly patients with periprosthetic joint infections, especially in cases when an intensive care unit (ICU) treatment was necessary. We therefore present the first study analyzing patients with an age 80 and higher suffering from a periprosthetic joint infection who had to be admitted to the ICU. Methods All patients aged 80 and higher who suffered from a PJI (acute and chronic) after THR or TKR and who have been admitted to the ICU have been included in this retrospective, observational, single-center study. Results A total of 57 patients met the inclusion criteria. The cohort consisted of 24 males and 33 females with a mean age of 84.49 (± 4.0) years. The mean SAPS II score was 27.05 (± 15.7), the mean CCI was 3.35 (± 2.28) and the most patient had an ASA score of 3 or higher. The PJI was located at the hip in 71.9% or at the knee in 24.6%. Two patients (3.5%) suffered from a PJI at both locations. Sixteen patients did not survive the ICU stay. Non-survivors showed significantly higher CCI (4.94 vs. 2.73; p = 0.02), higher SAPS II score (34.06 vs. 24.32; p = 0.03), significant more patients who underwent an invasive ventilation (132.7 vs. 28.1; p = 0.006) and significantly more patients who needed RRT (4.9% vs. 50%; p < 0.001). In multivariate analysis, RRT (odds ratio (OR) 15.4, CI 1.69–140.85; p = 0.015), invasive ventilation (OR 9.6, CI 1.28–71.9; p = 0.028) and CCI (OR 1.5, CI 1.004–2.12; p = 0.048) were independent risk factors for mortality. Conclusion Very elderly patients with PJI who needs to be admitted to the ICU are at risk to suffer from a poor outcome. Several risk factors including a chronic infection, high SAPS II Score, high CCI, invasive ventilation and RRT might be associated with a poor outcome.

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GENDER DIFFERENCES IN RISK FACTORS FOR CARDIAC DAMAGES IN ELDERLY PATIENTS WITH CARDIOVASCULAR DISEASES

The Gerontologist ◽

10.1093/geront/gnv182.08 ◽

2015 ◽

Vol 55 (Suppl_2) ◽

pp. 409-409

Keyword(s):

Risk Factors ◽

Gender Differences ◽

Cardiovascular Diseases ◽

Elderly Patients

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Cardiovascular Drug Therapy in Elderly Patients

Drugs & Aging ◽

10.2165/00002512-200522110-00003 ◽

2005 ◽

Vol 22 (11) ◽

pp. 913-941 ◽

Cited By ~ 27

Author(s):

Arduino A Mangoni

Keyword(s):

Drug Therapy ◽

Elderly Patients ◽

Cardiovascular Drug

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Study on the correlation between Left Ventricular Hypertrophy and Coronary Artery disease in the very elderly patients with hypertension

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.5.4135 ◽

2021 ◽

Vol 37 (5) ◽

Author(s):

Jian-hua Sun ◽

Xiao-kun Liu ◽

Qi Zhang ◽

Qing-hua Zhang

Keyword(s):

Risk Factors ◽

Coronary Artery Disease ◽

Coronary Artery ◽

Left Ventricular Hypertrophy ◽

Elderly Patients ◽

Coronary Stenosis ◽

Ventricular Hypertrophy ◽

Left Ventricular ◽

Very Elderly ◽

Artery Disease

Objective: To investigate the relationship between left ventricular hypertrophy (LVH) and coronary artery disease in the very elderly (over 80 years old) patients with hypertension. Methods: One hundred twenty cases of very elderly patients with hypertension admitted to our hospital from March 2018 to December 2020 were selected and divided into two groups: the LVH group and the non-LVH group, all of whom were older aged over 80 years, including 62 patients in the LVH group and 58 patients in the non-LVH group. All patients underwent cardiac color Doppler ultrasound examination, 24-hour dynamic ECG examination, and coronary angiography or coronary CTA examination. The clinical data of the two groups were analyzed statistically. Results: There were significant differences in the number of diseased vessels, degree of coronary stenosis and vascular calcification between the two groups (P<0.05). Moreover, the results of risk factors for the degree of coronary artery disease in the two groups showed that the history of diabetes, 2hPG and LVH were independent risk factors for the three-vessel disease, while the history of LVH, FPG and alcohol intake were independent risk factors for diffuse lesions, but there was no statistical difference in the correlation between them and the degree of coronary stenosis. Conclusion: LVH is an independent risk factor for coronary artery stenosis and calcification in the very elderly patients with hypertension, but there is no statistical difference in the correlation between LVH and the degree of coronary stenosis. doi: https://doi.org/10.12669/pjms.37.5.4135 How to cite this:Sun JH, Liu XK, Zhang Q, Zhang QH. Study on the correlation between Left Ventricular Hypertrophy and Coronary Artery disease in the very elderly patients with hypertension. Pak J Med Sci. 2021;37(5):---------. doi: https://doi.org/10.12669/pjms.37.5.4135 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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